Luis Rodriguez Gonzalez, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

11900 Shadow Creek Pkwy Apt 1237
Pearland, TX 77584-5268

Phone

(832) 270-1147

NPI assigned

Oct 7, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1043720741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SHADOW CREEK PKWY APT 1237",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845268",
            "telephone_number": "832-270-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SHADOW CREEK PKWY APT 1237",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845268",
            "telephone_number": "832-270-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "LUIS",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-07",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00805",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Robinson
• Destiny Robledo
• Amanda R Roddy, MCD, CCC-SLP
• Adrian Joy Rodrigue, BCBA
• Marvin Dale Rodrigue Jr., D.D.S.
• Amiramia Rodriguez, LCSW
• Arick Angel Rodriguez, OPA-C, SA-C
• Audelia Rodriguez
• Brittany Rodriguez
• Christina Rodriguez

• Surgical Physician Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.